Autoinflammatory & rare systemic diseases

Characterization of Genetic Landscape and Novel Inflammatory Biomarkers in Patients With Adult‐Onset Still's Disease

Arthritis RheumatolPublished Genetic and biomarker cohort study

Authors' conclusion

Our study shows considerable genetic complexity within AOSD and demonstrates the potential utility of the ASC/NLRP3 specks assay for disease stratification and targeted treatment.

Study context

Population
Patients with Adult-onset Still disease (AOSD)cytokine cohort n = 106
Participants
60 patients
Exposure
AOSD cases vs healthy controls
  • AOSDn = 60
Outcome
Rare germline variants associated with monogenic autoinflammatory disorder (AIDs)
Methodological detailswhole exome sequencing with virtual gene panels, bulk RNA sequencing of whole blood, cytokine profiling
  • Whole exome sequencing with virtual gene panels
  • Bulk RNA sequencing of whole blood
  • Cytokine profiling

Main finding

As reported in the abstract

Observational data: associations, not effects.

Further findings

OutcomeP value
ASC/NLRP3 specks levels and type I IFN scoresAOSD vs HCsP = 0.0001
ASC/NLRP3 specks levels and type I IFN scoresAOSD vs HCsP = 0.0015
Cytokines significantly elevatedAOSD vs HCsP < 0.0001
Cytokines significantly elevatedAOSD vs HCsP < 0.0075
Cytokines significantly elevatedAOSD vs HCsP = 0.0005
Cytokines significantly elevatedAOSD vs HCsP < 0.0001
Cytokines significantly elevatedAOSD vs HCsP < 0.0001
Cytokines significantly elevatedAOSD vs HCsP = 0.0009
Cytokines significantly elevatedAOSD vs HCsP = 0.0002

Original publication

Characterization of Genetic Landscape and Novel Inflammatory Biomarkers in Patients With Adult‐Onset Still's Disease. Arthritis Rheumatol. Published 16 December 2024. doi:10.1002/art.43054

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